Diet and Exercise Adherence and Practices Among Medically Underserved Patients With Chronic Disease: Variation Across Four Ethnic Groups

Kathryn M. Orzech, James Vivian, Cristina Huebner Torres, Julie Armin, Susan J Shaw

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Many factors interact to create barriers to dietary and exercise plan adherence among medically underserved patients with chronic disease, but aspects related to culture and ethnicity are underexamined in the literature. Using both qualitative (n = 71) and quantitative (n = 297) data collected in a 4-year, multimethod study among patients with hypertension and/or diabetes, the authors explored differences in self-reported adherence to diet and exercise plans and self-reported daily diet and exercise practices across four ethnic groups-Whites, Blacks, Vietnamese, and Latinos-at a primary health care center in Massachusetts. Adherence to diet and exercise plans differed across ethnic groups even after controlling for key sociodemographic variables, with Vietnamese participants reporting the highest adherence. Food and exercise options were shaped by economic constraints as well as ethnic and cultural familiarity with certain foods and types of activity. These findings indicate that health care providers should consider ethnicity and economic status together to increase effectiveness in encouraging diverse populations with chronic disease to make healthy lifestyle changes.

Original languageEnglish (US)
Pages (from-to)56-66
Number of pages11
JournalHealth Education and Behavior
Volume40
Issue number1
DOIs
StatePublished - Feb 2013

Fingerprint

Vulnerable Populations
Ethnic Groups
Chronic Disease
Exercise
Diet
Economics
Food
Hispanic Americans
Health Personnel
Primary Health Care
Adherence
Hypertension
Population

Keywords

  • adherence
  • chronic disease management
  • diet
  • food insecurity
  • physical activity/exercise
  • race/ethnicity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Arts and Humanities (miscellaneous)

Cite this

Diet and Exercise Adherence and Practices Among Medically Underserved Patients With Chronic Disease : Variation Across Four Ethnic Groups. / Orzech, Kathryn M.; Vivian, James; Huebner Torres, Cristina; Armin, Julie; Shaw, Susan J.

In: Health Education and Behavior, Vol. 40, No. 1, 02.2013, p. 56-66.

Research output: Contribution to journalArticle

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